ABSTRACT
BACKGROUND: The accessory submaxillary gland is a very uncommon anatomical variant, and incidence in the general population has not yet been quantified. The presence of pathology in these glands is rarer still, thus often going unnoticed. MATERIAL AND METHODS: We describe two accessory submaxillary gland cases, one asymptomatic and the other with chronic sialadenitis in the main and accessory gland caused by sialolithiasis. Although our diagnosis was by computerized tomography, magnetic resonance sialography is helpful to understand and describe this entity with greater precision. RESULTS: The first case report is an incidental finding and no intervention was required. However, case report number two had clinical symptoms and required a first intervention in which the main submaxillary gland was resected, and a second intervention in which the accessory submaxillary gland was removed. Both patients are asymptomatic to date. CONCLUSIONS: Awareness of the possible presence of accessory submaxillary glands and of potential variations of the excretory ducts is useful in diagnosis, as well as leading to more precise treatment for salivary pathology, and allowing surgeons to avoid complications or injuries during surgery. Key words:Accesory, submaxillary gland, submandibular gland, salivary gland, sialolithiasis, head and neck pathology.
ABSTRACT
La leishmaniasis es una infección endémica en nuestro medio. Dentro de sus presentaciones, la forma mucocutánea es la menos frecuente. A pesar de ello se ha de tener en cuenta incluso en casos clínicamente sugestivos de patología tumoral, como el que presentamos
Leishmaniasis is an endemic disease in the mediterranean region. Although mucocutaneous presentation is not frequent, we should considerate it in the differential diagnosis of tumoral pathology
Subject(s)
Humans , Male , Middle Aged , Leishmaniasis, Cutaneous/diagnosis , Leishmania/isolation & purification , Skin Diseases, Infectious/diagnosis , Leishmaniasis, Mucocutaneous/drug therapy , Diagnosis, Differential , Lip Diseases/microbiology , Leishmaniasis, Mucocutaneous/etiology , Insect Bites and Stings/complications , Meglumine Antimoniate/therapeutic useABSTRACT
We describe a minimally invasive transoral approach to the infratemporal fossa, by means of endoscopy, which facilitates examination and resection of lesions in this area. Furthermore, we outline the technique employed and a case treated with this approach, which permits a rapid access with very low patient morbidity, due to the use of endoscopy and of transoral access, instead of traditional transfacial approaches.
Subject(s)
Minimally Invasive Surgical Procedures/instrumentation , Neurilemmoma/surgery , Skull Base Neoplasms/surgery , Temporal Bone/surgery , Adult , Aftercare , Endoscopy/methods , Headache/diagnosis , Headache/etiology , Humans , Magnetic Resonance Imaging/methods , Male , Minimally Invasive Surgical Procedures/methods , Neurilemmoma/pathology , Skull Base Neoplasms/diagnostic imaging , Skull Base Neoplasms/pathology , Temporal Bone/diagnostic imaging , Temporal Bone/pathology , Tinnitus/diagnosis , Tinnitus/etiology , Treatment OutcomeABSTRACT
The caliber-persistent labial artery (CPLA) is a vascular anomaly in which a main branch of the artery penetrates the submucosal area of the lip without loss of caliber. It commonly presents as an elevated soft tissue mass and is often pulsatile on manual palpation. Clinical suspicion is important, given the risk of bleeding, either from slight trauma or accidentally if lack of awareness leads to excision of the lesion owing to an incorrect diagnosis. CPLA should be considered in the differential diagnosis of any lesion affecting the lip, especially to differentiate from mucocele or squamous cell carcinoma. This particular case of CPLA in the upper lip of a girl presents a both unusual and interesting clinical picture and could provide essential diagnostic and procedural information. HOW TO CITE THIS ARTICLE: Segundo-Jiménez MMG-S, Puche-Torres M, Torres-Gaya J, et al. Caliber-persistent Artery: A Case Report. Int J Clin Pediatr Dent 2019;12(5):475-477.
